Most Relevant Information
Provider Data
| NPI Number: | 1003202227 |
| Provider Name: | SANKOFA RA DOULA,CLC,WSP,CHHP |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 60813212 |
Most Important Dates
| Enumeration Date: | 04/14/2015 |
| Last Updated: | 04/14/2015 |
Provider Practice Location
290 UNION AVE
APT. 1C
NEW ROCHELLE
NY
108015901
Practice Location Phone/Fax
| Phone: | 9144846562 |
| Fax: |
Provider Mailing Location
290 UNION AVE
APT. 1C
NEW ROCHELLE
NY
108015901
Provider Mailing Phone/Fax
| Phone: | 9144846562 |
| Fax: |